Top 113 Utilization management Jobs in Round Rock, Tx

EHE Medical Care Manager
AIDS Healthcare Foundation —Austin, TX
- Mid-level
- Clinic
- Bachelor's degree
- Health insurance
Quick Apply
4d
Clinical Quality & Utilization Review Specialist
Central Health —Austin, TX
- Full-time
- Nursing
- Doctoral degree
- RN License
Utilization Review Coordinator - PRN position
Georgetown Behavioral Health Institute —Georgetown, TX
- Full-time
- CPR Certification
- Nursing
- BLS Certification
- Disability insurance
- Health insurance
Quick Apply
Care Manager - Remote
CareVitality Inc —Austin, TX
- $60,000 - $77,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
7d
Eligibility and Utilization Reporting Director
Health & Human Services Comm —Austin, TX
- $7,015.16 - $9,975.00 a month
- Online Application
- Writing skills
- Office
- Master's degree
- Health insurance
- Opportunities for advancement
Quick Apply
TMS Technician
BEACON BEHAVIORAL SUPPORT SERVICES —Cedar Park, TX
- Evenings as needed
- HIPAA
- Mid-level
- Organizational skills
- Opportunities for advancement
Quick Apply
Accounts Receivable Supervisor
Advanced Pain Care —Austin, TX
- $24 - $27 an hour
- Full-time
- Customer service
- HIPAA
- Research
Quick Apply
Clinical Case Manager Behavioral Health - Field In Fort Worth & Surrounding Areas, TX
CVS Health —Austin, TX
- $60,522 - $129,615 a year
- Full-time
- Bilingual
- LMFT
- Licensed Clinical Social Worker
- Travel reimbursement
- Health insurance
10d
Member and Provider Services Specialist
Harbor Health —Austin, TX
- Full-time
- In person
- Spanish
- HIPAA
- English
- Paid holidays
- Health insurance
Quick Apply
HL7 Interface Analyst
Dept of State Health Services —Austin, TX
- $6,377.50 - $8,581.66 a month
- Online Application
- Computer Science
- Computer literacy
- Office
Quick Apply
Program Specialist VI
Health & Human Services Comm —Austin, TX
- $5,416.67 - $5,875.00 a month
- Online Application
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Health insurance
- Opportunities for advancement
Quick Apply
11d
Care Coordinator - Austin, TX Area
CareVitality Inc —Austin, TX
- $40,000 - $50,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- LVN
- Paid training
- Health insurance
Obesity and Worksite Wellness Branch Manager
Dept of State Health Services —Austin, TX
- $5,797.66 - $7,652.91 a month
- Online Application
- Microsoft Excel
- Public speaking
- Office
- Wellness program
Quick Apply
Risk Manager II, Accreditation, Regulatory Ops, Pharmacy
PillPack, LLC —Austin, TX
- $74,200 - $129,800 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- AD&D insurance
- Health insurance
Associate Director, AMI Clinical Engagement
Allergan Aesthetics —Austin, TX
- $141,500 - $268,500 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- RN License
- Paid holidays
- Health insurance
12d
Georgetown Surgery Center - Center Administrator
Regent Surgical —Georgetown, TX
- Full-time
- Nursing
- RN License
- Word processing
Quick Apply
Occupational Therapist
Reliant Rehabilitation —Hutto, TX
- Full-time
- English
- Mid-level
- Discharge planning
- Health insurance
- Dental insurance
Medical Director (Texas Licensed)
Bumblebee Health —Texas
- Part-time
- Remote
- Medicine
- Management
- Psychiatry
- Health insurance
- Dental insurance
Quick Apply
2d
HYBRID (60/40) LEAD Board Certified Behavior Analyst (BCBA) - $5,000 Sign on bonus
Cultivate Behavioral Health & Education —Round Rock, TX
- $85,000 - $95,000 a year
- Full-time
- Hybrid work
- Applied behavior analysis
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
10d
Multispecialty Sonographer
Baylor Scott & White Health —Austin, TX
- PRN
- Anatomy knowledge
- Hospital
- Bachelor of Science
- Health insurance
- Tuition reimbursement

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EHE Medical Care Manager

AIDS Healthcare Foundation -
Austin, TX

Quick Apply

Job Details

4 days ago

Benefits

Health insurance

Qualifications

Affordable Care Act (ACA)
Master's degree in social work
Patient follow-up care
Bachelor's degree in social work
Insurance verification
Interdisciplinary collaboration in health services social work
Master's degree in social science
Welfare eligibility determination
Health and wellness goal setting
Regular follow-ups in health and wellness coaching
Experience working with individuals with chronic illnesses
Patient advocacy
Bachelor's degree in social science
Mid-level
Community resource coordination in health services social work
Social Sciences
Care planning in social services
Transitional care planning in clinical case management
Mental health resources facilitation
One-on-one patient counseling
Overseeing care coordination
Cultural competency
Bachelor's degree
Master's degree in human services
Client management
Housing services experience
Client retention strategy
Multidisciplinary team collaboration for treatment planning
Working with individuals from diverse cultural backgrounds
Working with individuals with mental health conditions

Full Job Description

A EHE Medical Care Manager contributes to AHF by utilizing their experience, skills, and education together with a thorough understanding of the “Ending the HIV Epidemic” program, along with knowledge of Ryan White within their specific area. With a caring and knowledgeable focus, you will work with the EHE RN Medical Care Manager, the medical providers, and the Healthcare Center team so that every EHE client receives the support they require and access to available resources. This will include providing education and assistance so that eligibility for the program is understood. Working directly within the Healthcare Center, you will meet with clients and complete Needs Assessments, develop Action/Care Plans, and provide ongoing education to patients so that they understand their diagnoses and their medications. You will reengage clients who dropped out of care or provide support to new patients determined to be at high risk of dropping out based on risk factor assessments, missed appointment data, and service utilization data. For EHE contracts that combine psychosocial needs within EHE Medical Care Management, you will understand mental health needs and basic needs such as housing, food, and clothing, and develop relationships with programs and agencies serving those needs and facilitate referrals, support, and assistance for your patients who lack those services. You will also conduct ongoing retention calls to ensure no gap in retention efforts and to uphold radical cooperation across divisions.

An EHE Medical Care Manager enhances the reputation of AHF by utilizing your case management experience. You will meet our clients where they are, identify strengths and opportunities for growth, and assist them with realistic goal setting. With your skills of collaboration and engagement, you will coordinate care for people living with HIV (PLWH) eligibility and ensure they achieve and maintain viral load (VL) suppression and retain medical care. You will also bring the essence of the Ending the HIV Epidemic Program and the Ryan White Care Act - the safety net for uninsured HIV/AIDS patients - to our most vulnerable population. By establishing Needs Assessments, Action/Care Plans, referrals, and support, your work will directly contribute to AHF's success in meeting the deliverables of our Ryan White contract. Beyond the scope of the contract, your work contributes to measures established by the HIV/AIDS Bureau (HAB) Measures and the Department of Health and Human Services. You will assure the coordination, follow-up, and completion of medical treatments and/or care plan interventions so that these services ensure timely and coordinated access to medically appropriate levels of health and support services and continuity of care through ongoing assessment of the client's and other key family members' needs and personal support systems. You will verify the clients eligibility for the ACA (Affordable Care Act) program and enroll those who qualify to ensure broader access to healthcare services.

You will be a passionate advocate for our top initiatives.

To be successful as an EHE Medical Care Manager it is crucial to ensure that the AHF Core Values and Mission stay top of mind with all that you do. At AHF we are nimble and able to adapt in a dynamic environment to assist in providing the best experience for our clients and workplace for our employees.

AHF has a collaborative organizational structure where staff are accountable to multiple leaders.

The EHE Medical Care Manager will work as a part of a close-knit team to provide brief interventions focused on a long-term achievable goal. The client and the EHE MCM work together each step of the way towards viral suppression, better health outcomes and higher quality of life. You will collaborate with providers to mutually develop and establish an action or individual service plan with each client that identifies patient needs, goals, and planned courses of action to promote readiness for and adherence to complete HIV/AIDS treatments (i.e., counseling, special programs), and meets identified needs; monitors and documents the changing needs of the client through personal contact and by reviewing the care plan at least every six months.

Licenses and Certifications: Bachelor or Master's degree in Social Science, Social Work, or Human Services. A minimum of 3 years of Case Management experience is preferred.

Knowledge of Ryan White Services is preferable. Knowledge of community resources

Competence in Cultural and linguistic Diversity

#INDN

Requirements:

AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation!

Does the idea of doing something that really makes a difference in people's lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees?

If so, AIDS Healthcare Foundation is the place for you!

Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them.

AHF's core values are:

Patient-Centered
Value Employees
Respect for Diversity
Nimble
Fight for What's Right

Please review our Advocacy page for the latest news on how AHF is Fighting for What's Right! Advocacy News.

Benefits at AHF

AHF offers comprehensive benefits to help our employees do and be their very best! These benefits are intended to enhance employee physical, financial, spiritual and professional health.

Quick Apply

Refine Your Search

utilization management jobs in round rock, tx

EHE Medical Care Manager

Clinical Quality & Utilization Review Specialist

Utilization Review Coordinator - PRN position

Care Manager - Remote

Eligibility and Utilization Reporting Director

TMS Technician

Accounts Receivable Supervisor

Clinical Case Manager Behavioral Health - Field In Fort Worth & Surrounding Areas, TX

Member and Provider Services Specialist

HL7 Interface Analyst

Program Specialist VI

Care Coordinator - Austin, TX Area

Obesity and Worksite Wellness Branch Manager

Risk Manager II, Accreditation, Regulatory Ops, Pharmacy

Associate Director, AMI Clinical Engagement

Georgetown Surgery Center - Center Administrator

Occupational Therapist

Medical Director (Texas Licensed)

HYBRID (60/40) LEAD Board Certified Behavior Analyst (BCBA) - $5,000 Sign on bonus

Multispecialty Sonographer

I want to receive the latest job alert for utilization management in round rock, tx

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